Registration

First Name*
Last Name*
Address*
City*
State*
Country
Zip Code*	ex. 45211
Phone*	ex. (513) 321-1234 primary contact number
Email*	ex. somebody@yahoo.com
Cell	ex. (513) 321-1234
Date of Birth*	- mm/dd/yyyy
High_School*
Sex*	Male Female
Course_Option*	First letter is a code as follows: C for Bicks Classroom, E for Elder, M for Mercy, S for Seton) followed by Date and time. NOTE: * Indicates a Special added class (see class schedule for details)
Driver's License #	ex. RP000000
Issue Date	- mm/dd/yyyy
Experience*	No Driving Experience I have driven before
Transportation*	Need a ride to Class Need a ride Home Need a ride both ways Don't need any transportaion

Bicks Driving School